OT General 4 — Questions and Answers
Question 1: A client with C6 spinal cord injury (complete) has preserved wrist extension but no finger flexion. Which adapted technique allows this client to perform basic grasp?
- Universal cuff
- Tenodesis grasp (Correct answer)
- Power grip training
- Cock-up splint only
Correct answer: Tenodesis grasp
Tenodesis grasp uses preserved wrist extension to passively flex the fingers, enabling functional pinch and grasp without active finger flexor function.
Question 2: Which occupational therapy practice area focuses on enabling returning veterans with PTSD to re-engage in meaningful daily roles?
- Ergonomics and industrial rehabilitation
- Mental health and community reintegration OT (Correct answer)
- Pediatric sensory integration
- Acute care hand therapy
Correct answer: Mental health and community reintegration OT
Mental health and community reintegration OT addresses psychosocial barriers and uses occupation-based interventions to support veterans with PTSD in resuming daily roles.
Question 3: According to AOTA's Occupational Therapy Practice Framework (OTPF), 'rest and sleep' are categorized under which occupation domain?
- Instrumental Activities of Daily Living (IADL)
- Leisure
- Occupations — Rest and Sleep (Correct answer)
- Health Management
Correct answer: Occupations — Rest and Sleep
The OTPF 4th edition identifies Rest and Sleep as a distinct occupational domain alongside ADLs, IADLs, education, work, play, leisure, and social participation.
Question 4: A therapist is conducting a group session using the Directive Group model. The PRIMARY goal of this group type is to:
- Develop advanced vocational skills
- Increase awareness of reality and basic functioning in low-functioning clients (Correct answer)
- Address interpersonal communication in high-functioning adults
- Teach complex leisure skills
Correct answer: Increase awareness of reality and basic functioning in low-functioning clients
The Directive Group model is designed for low-functioning individuals and targets orientation, attention, and basic purposeful behavior in a structured group setting.
Question 5: Which principle of universal design ensures that a product or environment can be used by people with diverse abilities without the need for adaptation?
- Equitable use (Correct answer)
- Simple and intuitive use
- Perceptible information
- Tolerance for error
Correct answer: Equitable use
Equitable use — Principle 1 of Universal Design — states that the design is useful and marketable to people with diverse abilities without separate or segregated solutions.
Question 6: An OT working in a neonatal intensive care unit (NICU) promotes development by recommending:
- High-stimulation play environments to accelerate development
- Prolonged prone positioning without monitoring
- Individualized, developmentally supportive care and handling (Correct answer)
- Early introduction of solid foods
Correct answer: Individualized, developmentally supportive care and handling
NICU OTs apply Newborn Individualized Developmental Care and Assessment Program (NIDCAP) principles, providing individualized, supportive handling to protect neurological development.
Question 7: During occupation-based intervention, a therapist has a client with stroke practice buttoning a shirt. This activity PRIMARILY targets which performance skill?
- Cognitive skills — organization
- Motor skills — fine motor coordination and manipulation (Correct answer)
- Communication and interaction skills
- Sensory-perceptual skills — stereognosis only
Correct answer: Motor skills — fine motor coordination and manipulation
Buttoning a shirt requires fine motor coordination and manipulation, which are motor performance skills targeted during post-stroke upper extremity rehabilitation.
OT General 4
A client with C6 spinal cord injury (complete) has preserved wrist extension but no finger flexion.
Which adapted technique allows this client to perform basic grasp?